Provider Demographics
NPI:1770088064
Name:PATEL, SAMRIDHI SYAL (MBBS)
Entity type:Individual
Prefix:
First Name:SAMRIDHI
Middle Name:SYAL
Last Name:PATEL
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:SAMRIDHI
Other - Middle Name:
Other - Last Name:SYAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS
Mailing Address - Street 1:2101 MEDICAL PARK DR STE 211
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4053
Mailing Address - Country:US
Mailing Address - Phone:301-836-9900
Mailing Address - Fax:
Practice Address - Street 1:2101 MEDICAL PARK DR STE 211
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-4053
Practice Address - Country:US
Practice Address - Phone:301-836-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0100997207RE0101X
NY311585-01207R00000X
DCMD210002143207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism